Provider Demographics
NPI:1245814227
Name:KAHALA CHIROPRACTIC INC
Entity type:Organization
Organization Name:KAHALA CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OHIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-445-3527
Mailing Address - Street 1:4747 KILAUEA AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5308
Mailing Address - Country:US
Mailing Address - Phone:808-732-2244
Mailing Address - Fax:
Practice Address - Street 1:99-128 AIEA HEIGHTS DR STE 404
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3938
Practice Address - Country:US
Practice Address - Phone:808-445-3527
Practice Address - Fax:808-440-1376
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY AND SPORTS CHIROPRACTIC CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty